消痛贴膏联合艾灸治疗寒湿痹阻型肩周炎临床研究
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R681.7

基金项目:


Clinical Study on Xiaotong Plaster Combined with Moxibustion for Scapulohumeral Periarthritis of Cold-Dampness Obstruction Type
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察消痛贴膏联合艾灸治疗肩周炎的临床效果。方法:将98 例符合要求的寒湿痹阻型肩周炎患者随机分为对照组和观察组各49 例。对照组口服美洛昔康片,特定电磁波谱治疗仪照射,照射后将吲哚美辛巴布膏贴于患侧肩关节,连续治疗3 周;观察组采用消痛贴膏外用联合艾灸进行治疗,疗程3 周。2 组均进行心理护理、生活起居指导、功能锻炼指导和治疗措施护理指导等综合护理措施。治疗前后采用视觉模拟评分法(VAS) 评价肩关节疼痛程度,采用Constant-Murley 肩关节评分系统评价肩关节功能,采用Barthel 指数(BI) 评定量表评价日常生活能力,记录治疗期间皮肤刺激反应的发生情况,比较2 组的临床疗效。结果:治疗后,观察组临床疗效优于对照组(P<0.05)。2 组Constant-Murley 肩关节评分疼痛、日常生活活动、关节活动度、肌力评分和总分均较治疗前升高(P<0.01),观察组疼痛、日常生活活动、关节活动度、肌力评分和总分均高于对照组(P<0.01)。2 组VAS 评分和BI 评分均较治疗前降低(P<0.01),观察组2 项评分均低于对照组(P<0.01)。2 组皮肤刺激反应发生情况无统计学差异(P>0.05)。结论:消痛贴膏联合艾灸治疗肩周炎寒湿痹阻证患者可明显减轻患处疼痛,改善肩关节活动功能,提高患者的日常生活能力,临床疗效显著。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Xiaotong plaster combined with moxibustion for scapulohumeral periarthritis. Methods: A total of 98 cases of patients with scapulohumeral periarthritis of cold- dampness obstruction type who met requirements were randomly divided into the control group and the observation group,49 cases in each group. The control group was given the oral administration of meloxicam tablets, and irradiation by specific electromagnetic wave therapeutic apparatus;after irradiation,indometacin cataplasm was applied to shoulder joint in the affected side;the control group was continuously treated for three weeks. The observation group was given the external application of Xiaotong plaster combined with moxibustion,and treated for three weeks. Both groups were given comprehensive nursing measures,such as psychological nursing, guidance of daily life and functional exercise, and nursing guidance of therapeutic measures. Before and after treatment,the degree of pain in shoulder joint was evaluated via Visual Analogue Scale(VAS);the function of shoulder joint was evaluated via Constant-Murley shoulder scoring system;activity of daily living was evaluated via Barthel Index(BI) scoring scale. The incidence of skin irritative reaction during treatment was recorded, and the clinical effect was compared between the two groups. Results: After treatment, the clinical effect in the observation group was better than that in the control group(P<0.05). In the two groups, the scores of pain evaluated by Constant- Murley shoulder scoring system, activity of daily living, range of motion and muscle strength, as well as the total scores were increased when compared with those before treatment(P<0.01);the above four scores and the total score in the observation group were all higher than those in the control group(P<0.01). The scores of VAS and BI in the two groups were decreased when compared with those before treatment(P<0.01),and the two scores in the observation group were lower than those in the control group (P<0.01). There was no significant difference being found in the incidence of skin irritative reaction in the two groups(P>0.05). Conclusion:The application of Xiaotong plaster combined with moxibustion in treating scapulohumeral periarthritis with cold-dampness obstruction syndrome,can significantly reduce pain in the affected part,improve physical function of knee joint,and promote patients' activity of daily living,with significant clinical effect.

    参考文献
    相似文献
    引证文献
引用本文

唐志仙.消痛贴膏联合艾灸治疗寒湿痹阻型肩周炎临床研究[J].新中医,2020,52(16):152-155

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-08-19
  • 出版日期: